ACR AC Portal

Home Imaging of Ductal Carcinoma in Situ (DCIS)

Variants

Adult. Suspected local recurrence based on symptoms, physical examination, or laboratory value in patient with history of breast conservation therapy for DCIS. Initial imaging.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

DCIS, breast conservation therapy, local recurrence suspected based on labs, initial imaging

3198641

US breast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Digital breast tomosynthesis diagnostic

0.1-1mSv
☢☢

Usually appropriate

Mammography diagnostic

0.1-1mSv
☢☢

Usually appropriate

Mammography with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

Image-guided core biopsy breast

Varies

Usually not appropriate

Image-guided fine needle aspiration breast

Varies

Usually not appropriate

MRI breast without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI breast without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT chest with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without and with IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

CT chest without IV contrast

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate

FDG-PET breast dedicated

1-10 mSv
☢☢☢

Usually not appropriate

Sestamibi MBI

1-10 mSv
☢☢☢

Usually not appropriate